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Abriana Wilmot

on 12 December 2013

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Severe dissociation which results in
is said to occur as a result of a
set of causes:
• an
innate ability to dissociate

repeated episodes of
severe physical or sexual
abuse in childhood

lack of a supportive or comforting person
to counteract abusive relative(s)

influence of other relatives
with dissociative symptoms or disorders

The primary cause of
is severe and prolonged trauma experienced in a person's childhood.
This trauma can be associated with
emotional, physical or sexual abuse, or some combination.

One theory:

young children,
faced with a routine of torture, sexual abuse, or neglect,
dissociate themselves from their trauma by creating separate identities.
Dissociation, is easy for a young child to achieve, thus becomes a useful defense.

The child,

who on average is around six years old at the time of the appearance of the first alter, may create many more.

Dissociative Identity Disorder
is a disorder that causes one person to have multiple identities.At least two of these personalities repeatedly assert themselves to control the affected person's behaviour. Each personality state has a distinct name, past, identity, and self-image.

It is a severe case of dissociation. In clinical populations, the estimated prevalence of DID ranges from 0.5 to 1.0% (Maldonado, Butler, & Spiegel, 2002). In the general population, estimates of prevalence are somewhat higher, ranging from 1-5% (Rubin & Zorumski, 2005). Females are more likely to receive a diagnosis of DID, at a ratio of 9:1 (Lewis-Hall, 2002).
Creative Art Therapy
: uses the creative process to help people express their thought and feelings. It can help increase self-awareness and cope with symptoms like memory loss.
Cognitive Therapy
: "talk therapy", helps people with
identify unhealthy, negative beliefs and behaviours and replace them with positive ones.
: there are no medications that specifically target dissociative disorders.
- A doctor would prescribe:
anti-depressant medications
anti-anxiety medications
mood tranquilizers
to help control mental health symptoms
associated with
Twin alters:
Twins appear the same in many ways and may even have the same name, often, but certainly not always, one twin is good while the other is bad.

Protector alter:
There are three types: persecutory, fight and caretaker alters which all, in their own way, protect the system and can "dominate consciousness", leaving the host unaware of what they have done.
Dead alter:
Some alters endured "such horrific abuse that they believed they were about to die and that they did die." If there is no one that can help the child recognize that they lived through it," then the part is in essence dead. An alter cannot be killed however, and can always be found and helped back to "life."
Aware or Unaware:
"The mental experience of consciousness." Awareness of other alters varies with each alter. Some alters are fully aware of all others and some are only aware of themselves.


falls under
Criterion C
because a person with
will have difficulties functioning in in social and occupational situations.
The power point by Rizu, Vishana, Shirome & Rajlakshmi on Angel under Wasley's Mental Health Seminar Pamphlets
Google Images
Video Clip
Mini Quiz
Karisanne scored a 24
Abriana scored a 31
Tianna scored a 35
Generally speaking, the higher the DES score, the more likely it is that the person has
. If you have a score over 30, it's possible that you have
. In a sample of 1,051 clinical subjects, only
of those scoring above 30 on the DES actually had
. In fact, given that in most studies the average DES score for a
person is in the 40s, with a standard deviation of about 20, roughly 15% of clinically diagnosed
patients score below 20 on the DES.

Some symptoms of
are inclusive of (but not limited to):
defective sleep patterns
anxiety or panic attacks
mood swings
black outs
self harm
auditory and visual hallucinations
eating disorders
Types of Alters
Dissociation is a mechanism that allows the mind to separate or compartmentalize certain memories or thoughts from normal consciousness. These memories are not erased, but are buried and may resurface at a later time.

Dissociation can, in a sense, be described as a defense mechanism. It forms a route of escape and a way to cope with extremely traumatizing situations especially if they are actions repeatedly done to the victim. Children have an innate ability to dissociate hence, the development of imaginary friends is very common with young children.
Dissociative identity Disorder falls under Criterion C
Multiple Personality Disorder
formerly known as
“Each alter personality had a common goal and raison d'etre, namely my survival. They didn't all realize that though, and so were at odds with each other much of the time. So I continued to be fragmented and divided.”

―- Carolyn Bramhall, Am I a Good Girl Yet?: Childhood Abuse Had Shattered Her. What Would It Take to Make Her Whole?
Full transcript